癌症康复单元中的症状负担与功能改善
Symptom Burden and Functional Gains in a Cancer Rehabilitation Unit.
作者信息
Fu Jack B, Lee Jay, Tran Kenny B, Siangco Christian M, Ng Amy H, Smith Dennis W, Bruera Eduardo
机构信息
Department of Palliative Care and Rehabilitation Medicine, University of Texas MD Anderson Cancer Center.
Department of Educational Psychology, University of Houston.
出版信息
Int J Ther Rehabil. 2015 Nov;22(11):517-523. doi: 10.12968/ijtr.2015.22.11.517. Epub 2015 Nov 5.
BACKGROUND/AIMS: To determine if there is a relationship between patient symptoms and functional improvement on inpatient rehabilitation.
METHODS
Retrospective review of medical records at an American tertiary referral-based cancer center of all patients admitted to an inpatient rehabilitation unit between 3/1/2013-5/20/2013. Main outcome measures included the Edmonton Symptom and Assessment Scale (ESAS) and Functional Independence Measure (FIM).
FINDINGS
The medical records for 71 unique cancer rehabilitation inpatients were analyzed. Statistical analysis of total admission ESAS on total FIM change found no significant relationships. The symptom burden of the patients was mild. Patients demonstrated statistically significant improvements in function and symptoms during inpatient rehabilitation. The mean change in total FIM and total ESAS were an increase of 19.20 and decrease of 7.41 respectively. Statistically significant changes occurred in fatigue, sleep, pain, and anxiety.
CONCLUSION
Both symptom and functional scores improved significantly during inpatient rehabilitation. However, no significant relationships were found between symptoms at admission and improvement in FIM.
背景/目的：确定住院康复患者的症状与功能改善之间是否存在关联。
方法
回顾性分析美国一家以三级转诊为基础的癌症中心2013年3月1日至2013年5月20日期间入住住院康复科的所有患者的病历。主要结局指标包括埃德蒙顿症状评估量表（ESAS）和功能独立性测量（FIM）。
结果
分析了71例独特的癌症康复住院患者的病历。对入院时ESAS总分与FIM总变化进行统计分析，未发现显著相关性。患者的症状负担较轻。患者在住院康复期间功能和症状有统计学意义上的显著改善。FIM总分和ESAS总分的平均变化分别为增加19.20和减少7.41。疲劳、睡眠、疼痛和焦虑出现了统计学意义上的显著变化。
结论
住院康复期间症状和功能评分均有显著改善。然而，入院时的症状与FIM改善之间未发现显著相关性。
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